vedanta

MEDICAL CERTIFICATE OHC

MRD NO: - VE/CE Date:

Formof Medical Check-up for Working ot Height

Certified that have examined

Age & Company who has signed below in my presence. I certify that

All clinical and pathological tests were done in my hospital/dispensary under my Instructions and

Find him/her fit. General and physical examination of do not

Reveal any abnormality. He/she does not suffer from amy acute/chronic skin disease or any contagious

Or Infectious disease. He/she is medically fit to Work at height of 2.0 meters and more since he/she is free

from Vertigo, Epitepsy of fits, General giddiness, and height-related disease

In my opinion is physicallyand mentally fit/ unfit for

Job in

Signature of Workmen Signature and Rubber stamp of medical

practitioner with name.

Notes: This certificate is to be given on the letterhead ofthe registered medical practitioner, who is
possessing allopathic qualifications as recognized by the India medical council. Below the signature, rubber
stamp of the medical practitioner should be affixed.

To letterhead normally should contain the following;

1) Name of the medical practitioner:

2) Qualification:
3) Registration No
4) Designation
5) Address
Before Height Test After Height Test
B.P.: m m of hg B.P mm of hgs

Pulse: mint Pulse. mint

WEIGHT: KG
FBS/RBS: mg/dl FITNESS CARD REGD NO: